Nursing Home Guide Will Help Avoid Unneeded Hospitalizations
91社区 has received a Patient-Centered Outcomes Research Institute Engagement Award for a guide for nursing home residents and their families to help them make optimal decisions concerning hospitalizations.
In order to make optimal decisions concerning hospitalizations, nursing home residents and their families need to have clear information about their treatment options and health conditions.
Hospitalization of nursing home residents are common and often result in complications and excessive costs. Nearly 1 in 4 people admitted to a skilled nursing facility from acute care are rehospitalized within 30 days at a cost of $14.3 billion annually. It is estimated that as many as two-thirds of those hospitalizations are avoidable. It鈥檚 been suggested that the role of family members of nursing home residents heavily influences decisions related to transferring residents to the hospital. In order to make optimal decisions concerning hospitalizations, nursing home residents and their families need to have clear information about their treatment options and health conditions.
The Christine E. Lynn College of Nursing at 91社区 recently received a $50,000 Engagement Award from the Patient-Centered Outcomes Research Institute (PCORI) for a program to widely disseminate an evidence-based decision guide they鈥檝e developed for nursing home residents and their families titled
鈥淗ospitalization carries many risks including falls, pressure ulcers, infections, decline in function, and disorientation,鈥 said Ruth Tappen, Ed.D., Christine E. Lynn Eminent Scholar and a professor in 91社区鈥檚 College of Nursing. 鈥淥ne way that we can effectively inform patients and facilitate the decision-making process is by using tools that support the exchange of information between the health care provider and the patient.鈥
In a parent study, Tappen and colleagues identified the need for more effective decision support tools to help avoid two of the three most frequent reasons given by nursing home staff for avoidable or potentially avoidable hospital transfers: the insistence by the resident or family member for the transfer, and a communication gap between nursing staff, primary care providers and families.聽
鈥淓ven when the resident has a palliative condition that can be treated in the nursing home, there are some instances where family members may still demand hospitalization,鈥 said Tappen. 鈥淭hey might just be uninformed about the actual prognosis of the resident or simply unaware of the treatment options available in the nursing home. This is why tools like the guide we have developed are crucial to enhance communication and information sharing between all parties involved in the decision-making process.鈥
The information package developed at 91社区 includes the guide, a smaller tri-fold and an implementation kit that will be available in both paper and electronic forms. With the PCORI funding award, 91社区鈥檚 College of Nursing will complete the translation of the guide and other materials into the top five languages spoken in the United States including English and Spanish. 91社区 will work with the American Health Care Association and Leading Age as well as consumer and professional organizations to enhance the distribution of the guide. Using this outreach effort will enable Tappen and her colleagues to reach their target population, which includes the residents themselves who typically have little or no internet access.
鈥淥ur ultimate goal with this program is to put the information contained in our guide into the hands of as many nursing home residents and their families as possible and to both improve quality of care and avoid unnecessary hospitalizations and associated costs,鈥 said Tappen.
91社区鈥檚 College of Nursing is internationally known for its commitment to nursing as a discipline focused on nurturing the wholeness of persons and the environment through Caring. The College advances Caring knowledge through education, practice, research and scholarship to transform care locally, nationally and globally. Currently, the College of Nursing offers bachelor鈥檚, master鈥檚, DNP and Ph.D. degree programs with approximately 1,600 nursing students enrolled in its programs. For more information, visit .
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